European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology

Suleman Aktaa; Amr Abdin; Elena Arbelo; Haran Burri; Kevin Vernooy; Carina Blomström-lundqvist; Giuseppe Boriani; Pascal Defaye; Jean-claude Deharo; Inga Drossart; Dan Foldager; Michael R Gold; Jens Brock Johansen; Francisco Leyva-Leon; Cecilia Linde; Yoav Michowitz; Mads Brix Kronborg; David Slotwiner; Torkel Steen; José Maria Tolosana; Stylianos Tzeis; Niraj Varma; Michael Glikson; Jens Cosedis Nielsen; Chris P Gale

doi:10.1093/europace/euab193

European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology

Suleman Aktaa^*
, Amr Abdin
, Elena Arbelo
, Haran Burri
, Kevin Vernooy
, Carina Blomström-lundqvist
, Giuseppe Boriani
, Pascal Defaye
, Jean-claude Deharo
, Inga Drossart
, Dan Foldager
, Michael R Gold
, Jens Brock Johansen
, Francisco Leyva-Leon
, Cecilia Linde
, Yoav Michowitz
, Mads Brix Kronborg
, David Slotwiner
, Torkel Steen
, José Maria Tolosana

Stylianos Tzeis, Niraj Varma, Michael Glikson, Jens Cosedis Nielsen, Chris P Gale

^*Corresponding author for this work

Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
Internal Medicine Clinic III, Cardiology, Angiology and Intensive Care Medicine, Saarland University Hospital, Homburg/Saar, Germany
Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
Cardiology Department, Geneva University Hospital, Geneva, Switzerland
Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC), Maastricht, the Netherlands
Department of Medical Science and Cardiology, Uppsala University, Uppsala, Sweden
Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy
Department of Cardiology, Arrhythmias Unit, University Hospital Grenoble Alps and Grenoble Alps University, Grenoble, France
Service de Cardiologie, Hôpital de la Timone, APHM, Marseille, France
Drossart (Belguim), ESC Patient Forum, Sophia Antipolis
Foldager(Denmark), ESC Patient Forum, Sophia Antipolis, France
Division of Cardiology, Medical University of South Carolina, Charleston, SC, USA
Department of Cardiology, Odense University Hospital, Odense, Denmark
Department of Cardiology, Karolinska University Hospital, Solna, Sweden
Cardiology Department, Shaare Zedek Hospital, Affiliated to the Faculty of Medicine, Hebrew University, Jerusalem, Israel
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
Cardiology Division, Weill Cornell Medical College, New York, NY, USA
Centre for Pacemakers and ICDs, Oslo University Hospital Ullevaal, Oslo, Norway
Institut d'Investigacións Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Cardiology Department, Mitera General Hospital, Hygeia Group, Athens, Greece
Cleveland Clinic, Cleveland, OH, USA
Queen Elizabeth Hospital Birmingham

Research output: Contribution to journal › Article › peer-review

42 Citations (Scopus)

41 Downloads (Pure)

Abstract

Aims:
To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults undergoing cardiac pacing.

Methods and results:
Under the auspice of the Clinical Practice Guideline Quality Indicator Committee of the European Society of Cardiology (ESC), the Working Group for cardiac pacing QIs was formed. The Group comprised Task Force members of the 2021 ESC Clinical Practice Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy, members of the European Heart Rhythm Association, international cardiac device experts, and patient representatives. We followed the ESC methodology for QI development, which involved (i) the identification of the key domains of care by constructing a conceptual framework of the management of patients receiving cardiac pacing, (ii) the development of candidate QIs by conducting a systematic review of the literature, (iii) the selection of the final set of QIs using a modified-Delphi method, and (iv) the evaluation of the feasibility of the developed QIs. Four domains of care were identified: (i) structural framework, (ii) patient assessment, (iii) pacing strategy, and (iv) clinical outcomes. In total, seven main and four secondary QIs were selected across these domains and were embedded within the 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization therapy.

Conclusion:
By way of a standardized process, 11 QIs for cardiac pacing were developed. These indicators may be used to quantify adherence to guideline-recommended clinical practice and have the potential to improve the care and outcomes of patients receiving cardiac pacemakers.

Original language	English
Pages (from-to)	165-172
Number of pages	8
Journal	Europace
Volume	24
Issue number	1
Early online date	29 Aug 2021
DOIs	https://doi.org/10.1093/europace/euab193
Publication status	Published - 4 Jan 2022

Bibliographical note

Copyright: The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected].

Keywords

Cardiac pacemaker
Clinical practice guidelines
Quality indicators

Access to Document

10.1093/europace/euab193Licence: CC BY-NC 3.0

European Society of Cardiology Quality Indicators
Copyright: The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected].
Final published version, 943 KBLicence: CC BY-NC 3.0

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Aktaa, S., Abdin, A., Arbelo, E., Burri, H., Vernooy, K., Blomström-lundqvist, C., Boriani, G., Defaye, P., Deharo, J., Drossart, I., Foldager, D., Gold, M. R., Johansen, J. B., Leyva-Leon, F., Linde, C., Michowitz, Y., Kronborg, M. B., Slotwiner, D., Steen, T., ... Gale, C. P. (2022). European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology. Europace, 24(1), 165-172. https://doi.org/10.1093/europace/euab193

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title = "European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology",

abstract = "Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults undergoing cardiac pacing. Methods and results: Under the auspice of the Clinical Practice Guideline Quality Indicator Committee of the European Society of Cardiology (ESC), the Working Group for cardiac pacing QIs was formed. The Group comprised Task Force members of the 2021 ESC Clinical Practice Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy, members of the European Heart Rhythm Association, international cardiac device experts, and patient representatives. We followed the ESC methodology for QI development, which involved (i) the identification of the key domains of care by constructing a conceptual framework of the management of patients receiving cardiac pacing, (ii) the development of candidate QIs by conducting a systematic review of the literature, (iii) the selection of the final set of QIs using a modified-Delphi method, and (iv) the evaluation of the feasibility of the developed QIs. Four domains of care were identified: (i) structural framework, (ii) patient assessment, (iii) pacing strategy, and (iv) clinical outcomes. In total, seven main and four secondary QIs were selected across these domains and were embedded within the 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization therapy. Conclusion: By way of a standardized process, 11 QIs for cardiac pacing were developed. These indicators may be used to quantify adherence to guideline-recommended clinical practice and have the potential to improve the care and outcomes of patients receiving cardiac pacemakers.",

keywords = "Cardiac pacemaker, Clinical practice guidelines, Quality indicators",

author = "Suleman Aktaa and Amr Abdin and Elena Arbelo and Haran Burri and Kevin Vernooy and Carina Blomstr{\"o}m-lundqvist and Giuseppe Boriani and Pascal Defaye and Jean-claude Deharo and Inga Drossart and Dan Foldager and Gold, \{Michael R\} and Johansen, \{Jens Brock\} and Francisco Leyva-Leon and Cecilia Linde and Yoav Michowitz and Kronborg, \{Mads Brix\} and David Slotwiner and Torkel Steen and Tolosana, \{Jos{\'e} Maria\} and Stylianos Tzeis and Niraj Varma and Michael Glikson and Nielsen, \{Jens Cosedis\} and Gale, \{Chris P\}",

note = "Copyright: The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected].",

year = "2022",

month = jan,

day = "4",

doi = "10.1093/europace/euab193",

language = "English",

volume = "24",

pages = "165--172",

journal = "Europace",

issn = "1099-5129",

publisher = "Oxford University Press",

number = "1",

}

Aktaa, S, Abdin, A, Arbelo, E, Burri, H, Vernooy, K, Blomström-lundqvist, C, Boriani, G, Defaye, P, Deharo, J, Drossart, I, Foldager, D, Gold, MR, Johansen, JB, Leyva-Leon, F, Linde, C, Michowitz, Y, Kronborg, MB, Slotwiner, D, Steen, T, Tolosana, JM, Tzeis, S, Varma, N, Glikson, M, Nielsen, JC & Gale, CP 2022, 'European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology', Europace, vol. 24, no. 1, pp. 165-172. https://doi.org/10.1093/europace/euab193

European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology. / Aktaa, Suleman; Abdin, Amr; Arbelo, Elena et al.
In: Europace, Vol. 24, No. 1, 04.01.2022, p. 165-172.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing

T2 - developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology

AU - Aktaa, Suleman

AU - Abdin, Amr

AU - Arbelo, Elena

AU - Burri, Haran

AU - Vernooy, Kevin

AU - Blomström-lundqvist, Carina

AU - Boriani, Giuseppe

AU - Defaye, Pascal

AU - Deharo, Jean-claude

AU - Drossart, Inga

AU - Foldager, Dan

AU - Gold, Michael R

AU - Johansen, Jens Brock

AU - Leyva-Leon, Francisco

AU - Linde, Cecilia

AU - Michowitz, Yoav

AU - Kronborg, Mads Brix

AU - Slotwiner, David

AU - Steen, Torkel

AU - Tolosana, José Maria

AU - Tzeis, Stylianos

AU - Varma, Niraj

AU - Glikson, Michael

AU - Nielsen, Jens Cosedis

AU - Gale, Chris P

N1 - Copyright: The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected].

PY - 2022/1/4

Y1 - 2022/1/4

N2 - Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults undergoing cardiac pacing. Methods and results: Under the auspice of the Clinical Practice Guideline Quality Indicator Committee of the European Society of Cardiology (ESC), the Working Group for cardiac pacing QIs was formed. The Group comprised Task Force members of the 2021 ESC Clinical Practice Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy, members of the European Heart Rhythm Association, international cardiac device experts, and patient representatives. We followed the ESC methodology for QI development, which involved (i) the identification of the key domains of care by constructing a conceptual framework of the management of patients receiving cardiac pacing, (ii) the development of candidate QIs by conducting a systematic review of the literature, (iii) the selection of the final set of QIs using a modified-Delphi method, and (iv) the evaluation of the feasibility of the developed QIs. Four domains of care were identified: (i) structural framework, (ii) patient assessment, (iii) pacing strategy, and (iv) clinical outcomes. In total, seven main and four secondary QIs were selected across these domains and were embedded within the 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization therapy. Conclusion: By way of a standardized process, 11 QIs for cardiac pacing were developed. These indicators may be used to quantify adherence to guideline-recommended clinical practice and have the potential to improve the care and outcomes of patients receiving cardiac pacemakers.

AB - Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults undergoing cardiac pacing. Methods and results: Under the auspice of the Clinical Practice Guideline Quality Indicator Committee of the European Society of Cardiology (ESC), the Working Group for cardiac pacing QIs was formed. The Group comprised Task Force members of the 2021 ESC Clinical Practice Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy, members of the European Heart Rhythm Association, international cardiac device experts, and patient representatives. We followed the ESC methodology for QI development, which involved (i) the identification of the key domains of care by constructing a conceptual framework of the management of patients receiving cardiac pacing, (ii) the development of candidate QIs by conducting a systematic review of the literature, (iii) the selection of the final set of QIs using a modified-Delphi method, and (iv) the evaluation of the feasibility of the developed QIs. Four domains of care were identified: (i) structural framework, (ii) patient assessment, (iii) pacing strategy, and (iv) clinical outcomes. In total, seven main and four secondary QIs were selected across these domains and were embedded within the 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization therapy. Conclusion: By way of a standardized process, 11 QIs for cardiac pacing were developed. These indicators may be used to quantify adherence to guideline-recommended clinical practice and have the potential to improve the care and outcomes of patients receiving cardiac pacemakers.

KW - Cardiac pacemaker

KW - Clinical practice guidelines

KW - Quality indicators

UR - https://academic.oup.com/europace/advance-article/doi/10.1093/europace/euab193/6358481

UR - https://www.scopus.com/pages/publications/85121278247

U2 - 10.1093/europace/euab193

DO - 10.1093/europace/euab193

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SN - 1099-5129

VL - 24

SP - 165

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JO - Europace

JF - Europace

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Aktaa S, Abdin A, Arbelo E, Burri H, Vernooy K, Blomström-lundqvist C et al. European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology. Europace. 2022 Jan 4;24(1):165-172. Epub 2021 Aug 29. doi: 10.1093/europace/euab193

European Society of Cardiology Quality Indicators for the care and outcomes of cardiac pacing: developed by the Working Group for Cardiac Pacing Quality Indicators in collaboration with the European Heart Rhythm Association of the European Society of Cardiology

Abstract

Bibliographical note

Keywords

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